Hemi-Arthoplasty in 3-part intra-troch fracture?
Hello everyone i’m a general practitioner undergoing an orthopedic attachment in Egypt. We’ve had a
60 Y.0 female with diabetes/ osteoporosis/ obese but otherwise fit presentwith a 3-part stable intra-troch fracture following a bathroom slip and my initial management plan was DHS.
However the chief ortho surgeon opted for a hemi arthoplasty on grounds she’ll be able to ambulate immediately and speed up recovery. I also found the choice of Hemi arthoplasty as opposed to THA confusing but he was of the opinion that it makes functionally no difference despite her being cognitively fit and ambulatory prior to the incident.
On grounds THA incurs higher risk and is over treatment
I’m a bit confused by this managment plan and was wondering if it is sound